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� . ' . <br /> Total Fee: $ � �S�g' 7-� Date Received: /�/,%r� <br /> Entered By: , Permit#: l2?�0��' <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: z 89'S G/�e DY'c.�it a✓c� �dyZIP: SS 3�j <br /> NAME OF OWNER: �Oqc?{� � ��rl,�y c�i�h�xo�: (home) �7S 3`�57 <br /> (work) 9�3/S/9' <br /> MAILING ADDRESS: /5�S �h�Y ��CITY: ,�e��,a ZIP: 5'S39 , <br /> I <br /> CONTRACTOR: S�r' �i� �OhSf• �r�� PHONE: �GIZ� gj4--j8�2 ! <br /> ONTACT PERSON: (� (,(�2r MOBILE/PAGER: (�1 Z) Z�D --7� <br /> MAILING ADDRESS: /Z3�,b �l u�✓_��e CITY: (�.yv�sv�//� ZIP: K"33 7 ' <br /> STATE LICENSE: # O 55� ub• ', <br /> DF�I C.E .= ��U� Lc9�i oelL I <br /> Sl fi�- =- ►'n��'2 Y3z��,�S C rr�vb��c ZZl�,5657� I <br /> ARCHITECT/ENGINEER: S�+�tvra7�f �[ PH4NE: 47C3 `�f 7�0 <br /> MAILING ADDRESS: Z S CITY: �'XC'e�Slw- ZIP: 53-337 <br /> NAME: IrYI t�� S ��ra REGISTRATION# ' <br /> i <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> � <br /> STORIES: � SQ. FEET OF EACH FLOOR: �-'� �/ah ��'�G���'I ; <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIMATED CON$STRUCTION VALUATION (excluding land): $� ��� �— <br /> � To-FaL �sf = 45 7,e�a Gess �r��{icr�, c�o✓'��6radi.,� �/07 0�� ^ 350�� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and �1�,� <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand t ' is not a,,pe�nit �d work is not to start without a <br /> permit; and that the work will be in acc d�fice with t�e approved'plan. <br /> . � <br /> APPLICANT'S SIGNATURE: � " /�" " DATE: 1Z I <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />